Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Surampudi, Kameswari; Nirmalan, Praveen K; Gundabattula, Sirisha Rao; Chandran, Jogitha Bharathi

doi:10.1007/s00404-014-3395-1

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…Ovarian cancer contributes to only 0.6% of cases and 13% of functional ovarian cysts. 10 When managing giant benign ovarian cysts, laparoscopy is considered a safe and minimally invasive surgical procedure. 11 Ultrasound-guided drainage with excision of giant ovarian cysts is a safe and appropriate modality of treatment.…”

Section: Discussionmentioning

confidence: 99%

Review of 244 cases of ovarian cysts

Abduljabbar

Bukhari

Hachim

et al. 2015

SMJ

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Objectives:To review cases of ovarian cysts managed at a University Hospital, and to identify the factors necessitating the use of laparotomy over laparoscopy.Methods:We carried out a retrospective chart review of all cases of ovarian cysts diagnosed and managed at the Department of Obstetrics & Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2010 and August 2014. All data collected from medical record charts, patents details, clinical presentations, ovarian cysts description, and pathology type were recorded, and management by laparoscopy or laparotomy was identified. Ethical approval was obtained from ethical hospital committee.Results:There were 244 cases of ovarian cysts during the study period. The age ranged from 3 months to 77 years of age. The parity from 0-6. The height range from 37-180 cm. The weight range from 3-161 kg, and calculated body mass index ranged from 12-47. Out of 244 patients diagnosed, 165 were married (67.4%). Of those, only 16 patients were pregnant (6.6%). The most common presentation was abdominal pain in 142 patients (58.2%). Only 79.9% were ovarian cysts, and 17.5% were either para-ovarian or retroperitoneal. The right ovaries were affected in 63.1%, and only 18.9% were bilateral. The types of ovarian cysts included functional cysts 33.2%, benign cyst-adenoma 19.3%, and dermoid cysts 12.3%.Conclusion:Factors associated with laparotomy management rather than laparoscopy included older age >35, single, pregnant, or patients presenting with abdominal pain, and more than one cyst.

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Section: Discussionmentioning

confidence: 99%

Review of 244 cases of ovarian cysts

Abduljabbar

Bukhari

Hachim

et al. 2015

SMJ

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“…Even today, the management of adnexal masses during pregnancy is controversial. [9][10] While some obstetricians prefer elective removal in the 2 nd trimester, others state that a conservative approach results in the resolution of most masses and avoid unnecessary surgery. 6 Surgery during pregnancy carries some inherent intraoperative and perioperative risks, including the added risks of fetal loss, preterm contractions and an increased risk of embolic events.…”

Section: Discussionmentioning

confidence: 99%

Analysis of adnexal mass managed during cesarean section

Yu¹,

Wang²,

Lü³

et al. 2018

Adv Clin Exp Med

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Background. Pregnancy with an adnexal mass is one of the most common complications during pregnancy and clinicians are sometimes caught in a dilemma concerning the decision to be made regarding clinical management. Objectives. The objective of this study was to outline and discuss the clinical features, management and outcomes of adnexal masses that were encountered during a cesarean section (CS) at a university-affiliated hospital in China. Material and methods. The medical records of the patients with an adnexal mass observed during a CS were retrospectively collected at Women'

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“…Mature teratomas and para-ovarian or luteal cysts are the most commonly reported pathological diagnoses [28][29][30]. Approximately 1.2% to 6.8% of pregnant women with persistent malignant masses are diagnosed with malignancy [23,[31][32][33].…”

Section: Ovarian Mass Scoring Systems In Pregnant Womenmentioning

confidence: 99%

Ultrasonographic ovarian mass scoring system for predicting malignancy in pregnant women with ovarian mass

Lee

et al. 2022

Obstet Gynecol Sci

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During routine antenatal ultrasound examinations, an ovarian mass can be found incidentally. In clinical practice, the differential diagnosis between benign and malignant ovarian masses is essential for planning further management. Ultrasound imaging has become the most popular diagnostic tool during pregnancy, with the recent development of ultrasonography. In non-pregnant women, several methods have been used to predict malignant ovarian masses before surgery. The International Ovarian Tumor Analysis (IOTA) group reported several scoring systems, such as the IOTA simple rules (SR), IOTA logistic regression (LS) models, and IOTA assessment of different NEoplasias in the adneXa (ADNEX). Other researchers have also evaluated the malignancy of ovarian masses before surgery using scoring systems such as the Sassone score, pelvic mass score (PMS), DePriest score, Lerner score, and Ovarian-Adnexal Reporting and Data System (O-RADS). These researchers suggested specific features of ovarian masses that can be used for differential diagnosis, including size, proportion of solid tissue, papillary projections, inner wall structure, locules, wall thickness, septa, echogenicity, acoustic shadows, and presence of ascites. Although these factors can also be measured in pregnant women using ultrasound, only a few studies have applied ovarian scoring systems in pregnant women. In this article, we reviewed various scoring systems for predicting malignant tumors of the ovary and determined whether they can be applied to pregnant women.

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Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Abstract: Although conservative management was appropriate in the majority of cases, the study identifies the need to standardize diagnosis, investigations and management for a better evaluation of outcomes.

Cited by 11 publications

References 19 publications

Review of 244 cases of ovarian cysts

Review of 244 cases of ovarian cysts

Analysis of adnexal mass managed during cesarean section

Ultrasonographic ovarian mass scoring system for predicting malignancy in pregnant women with ovarian mass

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